Pain

Question 1

What is pain?

Answer 1

Pain is what the client says it is

Question 2

Pain affects all body systems

Answer 2

Increased HR and B/P
Increase in stress hormones - increased blood sugar and insulin resistance
Decreased respirator volumes and atelectasis
SEVERELY decreased quality of life

Question 3

Nurse’s responsibility to provide excellent pain relief

Answer 3

Legal
Ethical
Nurse as client advocate

Question 4

Types of Pain

Answer 4

Nociceptive
Neuropathic
Acute
Chronic
Allodynia
Pain Emergencies

Question 5

Nociceptive pain is

Answer 5

“normal” pain sensation, may be acute or persistent and usually responds do opioids, and nonopioid medications

Question 6

Nociceptive Pain Types

Answer 6

Somatic - bone, skin and soft tissue
Visceral - internal organs
Cutaneous - skin or subcutaneous tissue

Question 7

Neuropathic pain is

Answer 7

usually caused by damage to nerves and is intense, shooting, burning or “pins and needles” pain

Question 8

Acute pain is

Answer 8

less than 6 months duration

Question 9

Allodynia pain is

Answer 9

pain from normally non-noxious stimulus

ex. client with gout in big toe cannot stand having the sheet touch the toe

Question 10

Pain Emergencies examples are:

Answer 10

Left-sided chest, jaw or arm pain

Chest pain with sudden SOB, dyspnea and diaphoresis

Flank pain (kidney stones)

Question 11

Pain must be assessed with

Answer 11

activity, not just at rest

Question 12

Pain management

Answer 12

Pain should be managed 24hr/day, not just PRN

Question 13

Patient teaching: OTC meds

Answer 13

Teach client about OTC meds that contain acetaminophen

Question 14

Side effect of opioid drugs

Answer 14

Respiratory depression - rate should be at least 8 breaths/min